Joints are parts of the body, formed by the cartilage-covered ends of bones plus the strong, flexible ligaments that attach the bones to one another. Movements at the joints in the body allow the different parts of the body to move in a smooth, coordinated way.
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2

Classic lab test:
The erythrocyte sedimentation rate ("sed rate") is a very old blood test of limited value and often subject to lab error. It's often up in some of the inflammatory diseases; 41 is only a mild elevation. This is not by itself the cause of your infertility, whether or not the cause itself is known. Request a full explanation from your personal physician, and good luck in becoming a mother.
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3

Paraproteinemia:
The Sed Rate often goes up if there is inflammation somewhere in the body but it can also go up if lymphocytes are producing excessive protein (called immunoglobulin) . This is called a paraproteinemia. This might represent a blood disorder. I suggest you chat with your Doctor to see if this is a old vs a new finding. If new, then your doctor may want you to see a hematologist to clarify.
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4

Unclear:
Just because a lab test is abnormal, it doesn't mean you need a medication. A sed rate is not very specific and it would be unlikely to have any condition diagnosed solely on this test.
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